Patient Safety
It's a structured communication tool widely used in healthcare to ensure clear, concise, and effective exchanges of information, especially in critical situations. Also one of 4 MM universal skills.
What is SBAR?
The most commonly reported type of medication error
What wrong dose?
The most effective way to prevent the spread of infection
What is hand hygiene?
This HRO tool encourages staff to voice concerns without fear
What is ARCC/Speak up/Chain of Command?
These tools were adopted to assist with creating common language around mobility across the AH
What is AM-PAC and JH-HLM?
The leading cause of sentinel events in healthcare are caused by this failure mode
What are Communication failures?
This is the most common reported medication with harm event at MM
What is anaphylaxis/infusion reactions?
This is known as the number one prevention strategy to reduce CAUTI/CLABSI
What is daily communication to assess the necessity of line removal?
A quick team meeting to discuss patient safety/operations also known as
What is a huddle?
A process where leaders (e.g., administrator, department heads, and nurse managers) are out in the building with staff and residents, talking with them directly about care and services provided in the organization including quality initiatives.
What is leadership rounding?
Learning from mistakes instead of blaming individuals to create an environment for physiological safety is known as
What is just culture?
Prevention tools such as Barcode scanning, medication reconciliation, double checks/dual verification as used for this purpose
What are tools to prevent medication errors?
Pre-op antibiotics, proper skin prep, sterile techniques are utilized as a strategy to accomplish this in the OR/PACU spaces
What are strategies to prevent surgical site infections?
Three-way repeat back, phonetic and numeric clarification, and clarifying questions are HRO skills/tools to aide in
What is communicating clearly?
Two successful interventions used in FY25 to reduce HAPI
What is two wedge system and mepilex?
At MM, the individuals responsible for maintaining patient and staff safety include
What is safety is everyone's responsibility?
Oxycodone ordered for severe pain administered for pain rating of 3
What is inappropriate administration for pain indication?
The acronym used to reduce inpatient mortality and length of stay for patients with cardiogenic shock through improving early recognition, documentation, and management in the ED is known as
What is (SUSPECT) Symptoms/signs, urine output, sustained hypotension, perfusion, ECG/echocardiogram, congestion, triage?
This is a common finding following safety event reviews amongst care teams
What is Lack of interprofessional collaboration?
A tool used that predicts disease severity in patients at risk for sepsis
What is non-invasive cardiac output monitor (NICOM)?
This FY 25 priority initiated workstreams such as End of life care, Cardiogenic shock, and Aspiration
What is mortality reduction?
Most recent best evidence-based practice to be utilized to prevent infusion programming errors
What is Smart pump Interoperability?
What is mask/N95?
Failure of closed loop communication
A Critical lab is delayed in being acted on. RCA often finds what communication gap?
These strategies were implemented during FY to reduce NVHAP
What is C.O.M.M.I.T.